Implementation and Evaluation of Neck-specific Exercises
Neck Pain, Whiplash Injuries, Neck Disorder
About this trial
This is an interventional other trial for Neck Pain focused on measuring Whiplash-associated disorders, Implementation Science, Neck pain, Rehabilitation, Exercise, Internet, Randomized Controlled Trial
Eligibility Criteria
Inclusion criteria implementation
- Reg. physiotherapists working in twenty physiotherapy clinics in primary health care.
Exclusion criteria implementation
- No exclusion criterta
Inclusion criteria to evaluate the effectiveness of neck-specific exercise
- The physiotherapists will include patients ≥ 18 years with neck pain.
- Patients are required to have internet access by phone, tablet, or computer
- Be able to read and understand Swedish
Exclusion criteria:
- Physiotherapists should exclude patients with "red flags"i.e., symptoms that suggest a serious illness or spinal abnormality.
- Serious trauma to the neck and no X-ray
- Preceding neck surgery
- Osteoporosis
- Myelopathy
- History of cancer
- Unexplained weight loss
- Present fever, history of infections
- Constant and progressive non-mechanical pain
- Insidious progression of pain
- Signs of spinal cord compression (neurological examination to exclude spinal cord or cervical myelopathy such as clumsy hands, altered gait, or disturbances of sexual, bladder or sphincter function).
Sites / Locations
- Gunnel PetersonRecruiting
- Gunnel PetersonRecruiting
- Gunnel PetersonRecruiting
- Gunnel PetersonRecruiting
- Sofia AskRecruiting
- Gunnel PetersonRecruiting
- Emma Nilsing-StridRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Implementation study - experimental group
Implementation study - control group
Physiotherapists in the experimental group (group A) will receive on-line theoretical education including three hours of practical training by the project leaders. The standardized theoretical education includes three 45 minutes on-line lectures. The theoretical education will be followed by three hours practical training including clinical examination in patients with neck disability and instructions how to perform the neck-specific exercises.To facilitate the implementation process, group A will receive additional support; the physiotherapists can contact the project leader via e-mail, phone, online meetings and/or outreach visits
Physiotherapists in the control group (group B) will receive the same theoretical and practical training as group A but without additional support from the research group or education after the first three theoretical on-line lectures and the three hours practical education.